Friday, March 7, 2008

Recognizing Colpomycosis

[Outlined in the body -- or microbial resistance to infection Cong antagonism between the lost balance, the bacteria that cause candidiasis. Pregnancy, diabetes, genital injury or impregnation, Oral contraceptives and antibiotics when immunosuppressive drugs are easy to promote genital candidiasis, vaginitis occurred. Pregnancy cells in the immune system or sugar metabolism changes, or vaginal epithelial rich sugar storage, to genital, Vaginitis happening. Diabetic patients blood and tissues of the high sugar content, but also prone to candida infection. Oral adrenal cortex hormones can reduce the body's immunity or alter glucose metabolism. Long-term use of antibiotics may inhibit skin or intestinal bacteria to other Candida active. [Diagnosis -- serious and intractable genital itching, should first consider whether the fungal infection, Local secretion through direct smears and cultures clear diagnosis, endoscopic easy to see the fungal hyphae and spores branches. Candida albicans to the oval, gram negative, but were often uneven. About three-5μm (Staphylococcus big several times over), and often have a long shoot without shedding (spores), and the result is like mycelium is not mycelium, it called pseudohypha (pseudomycelia). 【Treatment measures -- or a genital Wash : 5000 potassium permanganate solution Lotion, local Tu 2% crystal violet solution. In recent years, application of 79.85 (nystatin) the results are obvious. Usage : 100,000 U vaginal suppository morning, a meeting of the night, squeezed the depths of the vagina were on the 5th. Wash genital, local Infriction 79.85 ointment (100,000 U / g) 2 ~ 3 times / d. In order to facilitate treatment of vaginal epithelial regeneration, can be applied to a small amount of estrogen (estrogen en acid 0.25 - 0.5 mg / day, 3 ~ 5 days). Recurrent cases should consider gastrointestinal carrier can simultaneously increase services 500,000 79.85 U / time, the 1st four times. Not yet found the right 79.85 resistant Candida albicans. Relapse for more than enough dose, treatment is not complete, or during treatment not strictly enforced abstinence; Male or not treatment. Furthermore, in recent years, applications such as scrapping fungal agent ketoconazole, Trichostatin, clotrimazole are effective, long pharmacoeconomics. 【-- Fungal etiology Vulvitis (fungal vulvilis) is caused by a type of genital yeast inflammation. The most common pathogen Candida albicans is (Candida albicans). Often coexist with Colpomycosis genital and vaginal fungal said. 【Clinical manifestations -- fungal Vulvitis the clinical symptoms of itching, burning sensation and painful urination (with urethritis) Many women complained of pain during intercourse. Genital redness around often, edema. Epidermal changes varied : can occur very simple blister papules, appearing in groups; Eczema can also be formed from erosion. confined to the genital or to be extended to around perineal, perianal and reproductive plica shares until the medial thigh. completely similar appearance acute or subacute eczema, the clitoris and labia minora between nearby cells, contact between flushing of the skin surface erosion; individual can cause small white pustules, when serious ulcers, the surface of the skin pain, regional lymph node inflammation.

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